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Abstract

In recent years, there has been an increase in the rates of absenteeism and employee turnover among health care service providers in static health care clinics that are operated by nongovernmental organizations (NGOs) participating in the Urban Family Health Partnership (UFHP) in Bangladesh. Because this absenteeism and employee turnover profoundly affects the clinics' ability to provide quality health care services to the populations they serve, it is important to understand the causes of these increased rates of absenteeism and employee turnover. Through a review of current literature on job satisfaction, this research examines the perceptions of job satisfaction of health care service providers in NGO-operated stationary health care clinics in Bangladesh. Eight NGOs were selected from urban and rural areas for the study. In-depth interviews and focus group discussions (FGDs) were conducted with eight doctors and 11 paramedics (nursing professionals) employed at the participating NGO clinics. The data collected from these interviews was then compared to the current literature on job satisfaction. Common perceptions of the determining factors of job satisfaction among the health care service providers were reported and a list of recommendations for the NGO clinic management organizations was established. Understanding of the factors that affect the job satisfaction of the doctors and paramedics in the NGO clinics studied will be helpful to the policy makers and the managers of NGO health care clinics and to other entities working in the area of health care management that are interested in improving employee relations and employee retention.